Victoria Dominguez
Individual provider Active NPI School Social Worker · Bloomfield, NM
NPI 1801287073 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1801287073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- X-08774 (NM)
- Practice address
- 325 N Bergin LN
Bloomfield, NM 87413-6729 - Phone
- (505) 632-4389
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-08774 | NM | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | X-08774 | NM | Yes |
Addresses
Primary practice location
325 N Bergin LN
Bloomfield, NM 87413-6729
Mailing address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4389
Other providers in Bloomfield, NM
- DHHS PHS Naihs Shiprock Hospital
- DHHS PHS Naihs Shiprock Hospital
- DHHS PHS Naihs Shiprock Hospital
- DHHS, PHS, Naihs, Shiprock Hospital
- DHHS, PHS, Naihs, Shiprock Hospital
- David Lynn Doss
- Gregory Todd Eckstein
- Judy Linn Edwards
- Amy Elliott
- Mkayla Taylor Ellsworth
All providers in Bloomfield, NM · School Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.